Provider Demographics
NPI:1821081530
Name:KLOPFER, ROD ALEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROD
Middle Name:ALEN
Last Name:KLOPFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 E SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-4808
Mailing Address - Country:US
Mailing Address - Phone:714-404-8311
Mailing Address - Fax:714-829-3340
Practice Address - Street 1:515 E COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2020
Practice Address - Country:US
Practice Address - Phone:714-871-7118
Practice Address - Fax:714-829-3340
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-27
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC25072Medicare ID - Type Unspecified